Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $10,000.00	Facility		$1,148.15	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $3,162.28	Professional		$1,479.11	$1,778.28	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $16,982.44 / $32,359.37	Facility		$6,309.57	$16,982.44	$32,359.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,090.30	Professional		$1,584.89	$2,187.76	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $6,918.31	Professional		$1,445.44	$2,344.23	$6,918.31
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,089.30	Professional		$1,621.81	$1,862.09	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,388.44	Professional		$1,513.56	$2,089.30	$3,388.44